Organization Active NPI

JGT, LLC

  • Physiological Laboratory
  • Denver, CO
National Provider Identifier
1730348798
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
1365 Issued in CO
Legal business name
JGT, LLC
Practice address
1685 S Colorado Blvd # S-205
Denver, CO 80222-4000
Phone
(281) 462-1285
Fax
(281) 462-1554
NPI assigned
Jun 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Tae Fugate
Title
Electroneurodiagnostic Technician
Phone
(281) 462-1285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X 1365 CO Primary

Addresses

Primary practice location

1685 S Colorado Blvd # S-205
Denver, CO 80222-4000

Mailing address

PO Box 1288
Crosby, TX 77532-1288
Phone (281) 462-1285

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212624000000",
    "number": "1730348798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1288",
            "city": "CROSBY",
            "state": "TX",
            "postal_code": "775321288",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 S COLORADO BLVD # S-205",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802224000",
            "telephone_number": "281-462-1285",
            "fax_number": "281-462-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JGT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-05",
        "last_updated": "2008-06-05",
        "status": "A",
        "authorized_official_last_name": "FUGATE",
        "authorized_official_first_name": "TAE",
        "authorized_official_title_or_position": "ELECTRONEURODIAGNOSTIC TECHNICIAN",
        "authorized_official_telephone_number": "281-462-1285",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CO",
            "license": "1365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.